{"id":104399,"date":"2022-01-06T00:00:00","date_gmt":"2022-01-06T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/xuat-huyet-tieu-hoa-tren\/"},"modified":"2023-05-19T00:00:00","modified_gmt":"2023-05-19T00:00:00","slug":"xuat-huyet-tieu-hoa-tren","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tieu-hoa\/xuat-huyet-tieu-hoa-tren\/","title":{"rendered":"M\u1ed9t s\u1ed1 \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft v\u1ec1 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n. Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh r\u1ea5t \u0111i\u1ec3n h\u00ecnh, v\u00e0 vi\u1ec7c c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng. H\u00f4m nay m\u1eddi b\u1ea1n c\u00f9ng <strong><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a><\/strong> t\u00ecm hi\u1ec3u v\u1ec1 1 s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean nh\u00e9!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">T\u1ed5ng quan v\u1ec1 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/12\/xuat-huyet-tieu-hoa-tren-2.jpg\" alt=\"xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean\" class=\"wp-image-39080\"\/><figcaption class=\"wp-element-caption\"> T\u1ed5ng quan v\u1ec1 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean <\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e1u ch\u1ea3y ra kh\u1ecfi l\u00f2ng m\u1ea1ch v\u00e0o \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 th\u1ea3i ra ngo\u00e0i b\u1eb1ng c\u00e1ch n\u00f4n ra m\u00e1u hay ti\u00eau ra m\u00e1u. L\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u n\u1ed9i hay ngo\u1ea1i khoa th\u01b0\u1eddng g\u1eb7p v\u00e0 l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a nhi\u1ec1u b\u1ec7nh. Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a&nbsp; c\u00f3 th\u1ec3 do t\u1ed5n th\u01b0\u01a1ng tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ho\u1eb7c ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a g\u00e2y ch\u1ea3y t\u1eeb m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y s\u1ed1c. Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a c\u00f3 th\u1ec3 x\u1ea3y ra m\u1ecdi l\u1ee9a tu\u1ed5i, th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn nhi\u1ec1u h\u01a1n tr\u1ebb em, nam nhi\u1ec1u h\u01a1n n\u1eef.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a chia l\u00e0m 2 lo\u1ea1i:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean:<\/strong> t\u1ed5n th\u01b0\u01a1ng t\u1eeb th\u1ef1c qu\u1ea3n cho \u0111\u1ebfn g\u00f3c Treitz, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 v\u1eeba \u00f3i ra m\u00e1u, \u0111i ti\u00eau ra ph\u00e2n \u0111en hay ra m\u00e1u \u0111\u1ecf ho\u1eb7c ch\u1ec9 c\u00f3 \u00f3i ra m\u00e1u \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u, ho\u1eb7c ch\u1ec9 c\u00f3 ti\u00eau ra m\u00e1u.<\/li>\n\n\n\n<li><strong>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a d\u01b0\u1edbi: <\/strong>t\u1ed5n th\u01b0\u01a1ng t\u1eeb g\u00f3c Treitz tr\u1edf xu\u1ed1ng, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng ti\u00eau ra m\u00e1u \u0111\u1ecf, c\u00f3 th\u1ec3 \u0111i c\u1ea7u ph\u00e2n \u0111en.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ai d\u1ec5 b\u1ecb h\u1ed9i ch\u1ee9ng xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Kho\u1ea3ng 60% b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n c\u0103n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean th\u00ec l\u1ea7n xu\u1ea5t huy\u1ebft n\u00e0y c\u00f3 th\u1ec3 ch\u1ea3y m\u00e1u c\u00f9ng m\u1ed9t v\u1ecb tr\u00ed. M\u1eb7t kh\u00e1c, khai th\u00e1c ti\u1ec1n c\u0103n trong b\u1ec7nh \u00e1n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u00e2y xu\u1ea5t huy\u1ebft hay nh\u1eefng v\u1ea5n \u0111\u1ec1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 ti\u1ec1n c\u0103n g\u1ee3i \u00fd nguy\u00ean nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a g\u1ee3i \u00fd nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do d\u00e3n v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n hay t\u0129nh m\u1ea1ch ph\u00ecnh v\u1ecb g\u1eb7p \u1edf BN c\u00f3 ti\u1ec1n c\u0103n b\u1ec7nh gan hay nghi\u1ec7n r\u01b0\u1ee3u.<\/li>\n\n\n\n<li>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do lo\u1ea1n s\u1ea3n m\u1ea1ch m\u00e1u g\u1eb7p \u1edf BN c\u00f3 ti\u1ec1n c\u0103n b\u1ec7nh th\u1eadn, h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, d\u00e3n t\u0129nh m\u1ea1ch g\u00e2y xu\u1ea5t huy\u1ebft c\u00f3 t\u00ednh di truy\u1ec1n.<\/li>\n\n\n\n<li>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng g\u1eb7p \u1edf BN ti\u1ec1n c\u0103n nhi\u1ec5m Helicobacter pylori, d\u00f9ng NSAIDS hay h\u00fat thu\u1ed1c.<\/li>\n\n\n\n<li>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do b\u1ec7nh l\u00fd \u00e1c t\u00ednh th\u01b0\u1eddng g\u1eb7p \u1edf BN c\u00f3 th\u00f3i quen h\u00fat thu\u1ed1c l\u00e1, nghi\u1ec7n r\u01b0\u1ee3u, hay nhi\u1ec5m Helicobacter pylori.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u00fa \u00fd h\u1ecfi nh\u1eefng b\u1ec7nh n\u1ec1n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn x\u1eed tr\u00ed xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nh\u1eefng b\u1ec7nh khi\u1ebfn BN d\u1ec5 gi\u1ea3m Oxy m\u00e1u (v\u00ed d\u1ee5: b\u1ec7nh m\u1ea1ch v\u00e0nh, b\u1ec7nh ph\u1ed5i). Nh\u1eefng BN n\u00e0y y\u00eau c\u1ea7u duy tr\u00ec m\u1ee9c Hemoglobin cao h\u01a1n nh\u1eefng BN kh\u00e1c.<\/li>\n\n\n\n<li>Nh\u1eefng BN d\u1ec5 qu\u00e1 t\u1ea3i tu\u1ea7n ho\u00e0n khi \u0111\u01b0\u1ee3c truy\u1ec1n d\u1ecbch hay m\u00e1u (b\u1ec7nh th\u1eadn, suy tim). Khi truy\u1ec1n ph\u1ea3i theo d\u00f5i k\u1ef9.<\/li>\n\n\n\n<li>Nh\u1eefng BN c\u00f3 t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u kh\u00f3 ki\u1ec3m so\u00e1t do c\u00f3 b\u1ec7nh v\u1ec1 r\u1ed1i lo\u1ea1n \u0111\u00f4ng c\u1ea7m m\u00e1u, suy gan n\u1eb7ng. \u0110\u00f4i khi c\u1ea7n truy\u1ec1n th\u00eam ti\u1ec3u c\u1ea7u hay huy\u1ebft t\u01b0\u01a1ng t\u01b0\u01a1i \u0111\u00f4ng l\u1ea1nh.<\/li>\n\n\n\n<li>BN d\u1ec5 b\u1ecb h\u00edt s\u1eb7c (nh\u01b0 h\u00f4n m\u00ea, b\u1ec7nh n\u00e3o gan). Nh\u1eefng BN n\u00e0y c\u1ea7n xem x\u00e9t \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00ean c\u1ea1nh \u0111\u00f3, b\u1ea1n n\u00ean l\u01b0u \u00fd nh\u1eefng thu\u1ed1c \u0111\u00e3 v\u00e0 \u0111ang s\u1eed d\u1ee5ng, bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00f9ng Aspirin hay NSAIDS g\u00e2y lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng.<\/li>\n\n\n\n<li>Nh\u1eefng thu\u1ed1c g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n (Kali, phosphonates)<\/li>\n\n\n\n<li>Thu\u1ed1c g\u00e2y ch\u1ea3y m\u00e1y n\u1eb7ng h\u01a1n: thu\u1ed1c kh\u00e1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u (v\u00ed d\u1ee5 clopidogrel), thu\u1ed1c kh\u00e1ng \u0111\u00f4ng.<\/li>\n\n\n\n<li>Nh\u1eefng thu\u1ed1c g\u00e2y \u1ea3nh h\u01b0\u1edfng bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nh\u01b0 d\u00f9ng s\u1eaft, bismuth.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c d\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft xu\u1ea5t huy\u1ebft <a href=\"https:\/\/www.docosan.com\/blog\/tieu-hoa\/\" target=\"_blank\" rel=\"noreferrer noopener\">ti\u00eau h\u00f3a<\/a> tr\u00ean r\u1ea5t \u0111a d\u1ea1ng, \u0111\u00f4i khi c\u00f3 th\u1ec3 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a th\u00f4ng th\u01b0\u1eddng, tuy nhi\u00ean ch\u00fang c\u0169ng c\u00f3 th\u1ec3 b\u00e1o \u0111\u1ed9ng m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">N\u00f4n ra m\u00e1u<\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/12\/xuat-huyet-tieu-hoa-tren-4.jpg\" alt=\"xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean\" class=\"wp-image-39082\"\/><figcaption class=\"wp-element-caption\">N\u00f4n ra m\u00e1u l\u00e0 1 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u01b0\u1ee3ng m\u00e1u c\u00f3 th\u1ec3 thay \u0111\u1ed5i.<\/li>\n\n\n\n<li>T\u00ednh ch\u1ea5t: m\u00e1u \u0111\u1ecf t\u01b0\u01a1i, \u0111\u1ecf b\u1ea7m, n\u00e2u \u0111en, c\u1ee5c, l\u1ecfng l\u1eabn th\u1ee9c \u0103n do t\u00e1c \u0111\u1ed9ng c\u1ee7a acid clohydric, pepsin v\u00e0 m\u00e1u t\u1ea1o th\u00e0nh hematine.<\/li>\n\n\n\n<li>C\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi ch\u1ea3y m\u00e1u cam, \u0103n ti\u1ebft canh, ho ra m\u00e1u (m\u00e1u \u0111\u1ecf t\u01b0\u01a1i, b\u1ecdt, kh\u00f4ng c\u00f3 th\u1ee9c \u0103n, pH ki\u1ec1m)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Ti\u00eau ph\u00e2n \u0111en<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>XHTH tr\u00ean v\u1edbi l\u01b0\u1ee3ng 200-400ml s\u1ebd g\u00e2y ti\u00eau ph\u00e2n \u0111en gi\u1ed1ng nh\u01b0 h\u1eafc \u00edn.<\/li>\n\n\n\n<li>XHTH d\u01b0\u1edbi c\u00f3 th\u1ec3 g\u00e2y ti\u00eau ph\u00e2n \u0111en nh\u01b0ng hi\u1ebfm khi nh\u01b0 h\u1eafc \u00edn.<\/li>\n\n\n\n<li>Ti\u00eau ph\u00e2n \u0111en c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u01a1n \u0111\u1ed9c hay sau khi \u00f3i m\u00e1u hay \u0111\u1ed3ng th\u1eddi.<\/li>\n\n\n\n<li>C\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi ti\u00eau ph\u00e2n \u0111en do thu\u1ed1c (bismuth, s\u1eaft, than ho\u1ea1t), t\u00e1o b\u00f3n.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110au v\u00f9ng b\u1ee5ng tr\u00ean, \u0111au b\u1ee5ng, s\u00f4i ru\u1ed9t<\/li>\n\n\n\n<li>Hoa m\u1eaft, \u00f9 tai, ch\u00f3ng m\u1eb7t, kh\u00e1t n\u01b0\u1edbc<\/li>\n\n\n\n<li>Tri\u1ec7u ch\u1ee9ng m\u1ea5t m\u00e1u c\u1ea5p<\/li>\n\n\n\n<li>Da ni\u00eam: da l\u1ea1nh, ni\u00eam nh\u1ee3t, tr\u1eafng b\u1ec7ch<\/li>\n\n\n\n<li>M\u1ea1ch: nhanh nh\u1eb9, kh\u00f3 b\u1eaft<\/li>\n\n\n\n<li>Huy\u1ebft \u00e1p: gi\u1ea3m<\/li>\n\n\n\n<li>T\u00ecnh tr\u1ea1ng tri gi\u00e1c: t\u1ec9nh, m\u1ec7t, li b\u00ec, v\u1eadt v\u00e3<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Nh\u1eefng bi\u1ec3u hi\u1ec7n nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1ed1t: 80% tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/li>\n\n\n\n<li>H\u1ed9i ch\u1ee9ng nguy k\u1ecbch h\u00f4 h\u1ea5p c\u1ea5p c\u00f3 th\u1ec3 x\u1ea3y ra trong 24h c\u1ee7a s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch<\/li>\n\n\n\n<li>Thuy\u00ean t\u1eafc ph\u1ed5i: hi\u1ebfm<\/li>\n\n\n\n<li>Thi\u1ec3u ni\u1ec7u<\/li>\n\n\n\n<li>H\u00f4n m\u00ea gan<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Khi n\u00e0o b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean c\u1ea7n \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Khi t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean n\u1eb7ng v\u00e0 k\u00e9o d\u00e0i, b\u1ec7nh nh\u00e2n s\u1ebd r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng shock, \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u ngay l\u1eadp t\u1ee9c. C\u00e1c d\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft shock bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng, th\u1edf nhanh n\u00f4ng v\u00e0 y\u1ebfu<\/li>\n\n\n\n<li>Huy\u1ebft \u00e1p t\u1ee5t, k\u1eb9t, hay b\u1eb1ng 0.<\/li>\n\n\n\n<li>Chi l\u1ea1nh.<\/li>\n\n\n\n<li>B\u1ec7nh nh\u00e2n l\u00fa l\u1eabn, kh\u00f4ng t\u1ec9nh t\u00e1o.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/12\/xuat-huyet-tieu-hoa-tren-3.jpg\" alt=\"xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean\" class=\"wp-image-39081\"\/><figcaption class=\"wp-element-caption\">Lo\u00e9t d\u1ea1 d\u00e0y l\u00e0 1 nguy\u00ean nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c nguy\u00ean nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean \u0111\u01b0\u1ee3c chia l\u00e0m 2 nh\u00f3m:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean nh\u00e2n chung c\u1ee7a xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean v\u00e0 d\u01b0\u1edbi:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3m ti\u1ec3u c\u1ea7u<\/li>\n\n\n\n<li>S\u1ed1t xu\u1ea5t huy\u1ebft<\/li>\n\n\n\n<li>B\u1ec7nh Hemophilia<\/li>\n\n\n\n<li>Suy gan<\/li>\n\n\n\n<li>Do thi\u1ebfu Vitamin K<\/li>\n\n\n\n<li>Do d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng (Warfarin, Heparin)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/li>\n\n\n\n<li>Lo\u00e9t d\u1ea1 d\u00e0y l\u00e0 1 trong nh\u1eefng nguy\u00ean nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/li>\n\n\n\n<li>Th\u1ef1c qu\u1ea3n<\/li>\n\n\n\n<li>HC Mallory weiss<\/li>\n\n\n\n<li>V\u1ee1 d\u00e3n TM th\u1ef1c qu\u1ea3n, TM ph\u00ecnh v\u1ecb<\/li>\n\n\n\n<li>Lo\u00e9t th\u1ef1c qu\u1ea3n<\/li>\n\n\n\n<li>D\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/li>\n\n\n\n<li>Lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng<\/li>\n\n\n\n<li>Ung th\u01b0 d\u1ea1 d\u00e0y\/Polyp d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/li>\n\n\n\n<li>Vi\u00eam xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/li>\n\n\n\n<li>Sang th\u01b0\u01a1ng m\u1ea1ch m\u00e1u: Dieulafoy, Hemangiomia, lo\u1ea1n s\u1ea3n m\u1ea1ch m\u00e1u<\/li>\n\n\n\n<li>Ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng m\u1eadt<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Khi ti\u1ebfp nh\u1eadn m\u1ed9t b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean, b\u00e1c s\u0129 \u0111\u1ea7u ti\u00ean ph\u1ea3i t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u shock \u0111\u1ec3 lo\u1ea1i tr\u1eeb b\u1ec7nh c\u1ea3nh c\u1ea5p c\u1ee9u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ti\u1ebfp theo, h\u1ecd s\u1ebd th\u0103m kh\u00e1m c\u00e1c d\u1ea5u hi\u1ec7u v\u1ec1 tri gi\u00e1c, m\u00e0u s\u1eafc da ni\u00eam c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1eb1ng th\u0103m kh\u00e1m h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng, b\u00e1c s\u0129 s\u1ebd x\u00e1c nh\u1eadn \u0111\u01b0\u1ee3c li\u1ec7u b\u1ec7nh nh\u00e2n c\u00f3 b\u1ecb xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean th\u1ef1c s\u1ef1.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu\u1ed1i c\u00f9ng, b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m sau \u0111\u00e2y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 chi ti\u1ebft h\u01a1n t\u00ecnh tr\u1ea1ng b\u1ec7nh:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 d\u1ecbch ti\u1ebft.<\/li>\n\n\n\n<li>Ure m\u00e1u.<\/li>\n\n\n\n<li>Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch: n\u1ebfu b\u1ec7nh nh\u00e2n m\u1ea5t m\u00e1u n\u1eb7ng<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>N\u1ed9i soi d\u1ea1 d\u00e0y:<\/strong> l\u00e0m s\u1edbm ngay n\u1ebfu \u0111\u01b0\u1ee3c (trong v\u00f2ng 24h) trong m\u1ecdi tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean. N\u1ed9i soi gi\u00fap ta th\u1ea5y h\u00ecnh \u1ea3nh sang th\u01b0\u01a1ng v\u00e0 can thi\u1ec7p th\u1ee7 thu\u1eadt c\u1ea7m m\u00e1u ngay.<\/li>\n\n\n\n<li><strong>C\u00e1c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh kh\u00e1c: <\/strong>ch\u1ee5p m\u1ea1ch m\u00e1u, vi\u00ean nang n\u1ed9i soi kh\u00f4ng d\u00e2y (th\u1eddi gian ghi h\u00ecnh l\u00e0 20 ph\u00fat).<\/li>\n\n\n\n<li><strong>N\u1ed9i soi \u0111\u1ea1i tr\u00e0ng:<\/strong> khi BN \u0111i c\u1ea7u ph\u00e2n \u0111en nh\u01b0ng n\u1ed9i soi ti\u00eau h\u00f3a tr\u00ean kh\u00f4ng th\u1ea5y ch\u1ea3y m\u00e1u.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/12\/xuat-huyet-tieu-hoa-tren-5.jpg\" alt=\"xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean\" class=\"wp-image-39083\"\/><figcaption class=\"wp-element-caption\">H\u00ecnh \u1ea3nh n\u1ed9i soi xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed xu\u1ea5t huy\u1ebft:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>N\u1ed9i soi ru\u1ed9t non: b\u1eb1ng vi\u00ean nang hay ph\u01b0\u01a1ng ph\u00e1p double \u2013 balloon.<\/li>\n\n\n\n<li>Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p v\u1ecb tr\u00ed xu\u1ea5t huy\u1ebft \u0111\u00e3 ng\u01b0ng ch\u1ea3y, kh\u00f3 ph\u00e1t hi\u1ec7n. N\u00ean theo d\u00f5i BN trong 24-48h.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean 9 nguy\u00ean t\u1eafc<\/h3>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\">\n<li>H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c<\/li>\n\n\n\n<li>Duy tr\u00ec \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch.<\/li>\n\n\n\n<li>Th\u1edf Oxy<\/li>\n\n\n\n<li>Truy\u1ec1n m\u00e1u<\/li>\n\n\n\n<li>C\u1ea7m m\u00e1u<\/li>\n\n\n\n<li>\u0110\u1eb7t Sonde d\u1ea1 d\u00e0y \u2013 r\u1eeda s\u1ea1ch d\u1ea1 d\u00e0y.<\/li>\n\n\n\n<li>Th\u1ee7 thu\u1eadt can thi\u1ec7p qua n\u1ed9i soi.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c h\u1ed7 tr\u1ee3.<\/li>\n\n\n\n<li>Can thi\u1ec7p ngo\u1ea1i khoa khi c\u1ea7n.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">H\u1ed3i s\u1ee9c<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cho b\u1ec7nh nh\u00e2n Th\u1edf oxy v\u1edbi t\u1ed1c \u0111\u1ed9 1 \u2013 5l\/ ph\u00fat.<\/li>\n\n\n\n<li>Truy\u1ec1n d\u1ecbch d\u1ef1a v\u00e0o m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a.<\/li>\n\n\n\n<li>C\u00e2n nh\u1eafc truy\u1ec1n h\u1ed3ng c\u1ea7u l\u1eafng trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">C\u1ea7m m\u00e1u<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ng\u01b0ng d\u00f9ng c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng (wafarin, heparin)<\/li>\n\n\n\n<li>Ng\u01b0ng d\u00f9ng thu\u1ed1c NSAIDS.<\/li>\n\n\n\n<li>B\u1ed5 sung vitamin K 10mg tr\u00ean b\u1ec7nh nh\u00e2n x\u01a1 gan c\u00f3 d\u00f9ng wafarin.<\/li>\n\n\n\n<li>C\u00e1c lo\u1ea1i thu\u1ed1c c\u1ea7m m\u00e1u kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 (adrenoxyl, adona, transamin) n\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng<\/li>\n\n\n\n<li>Truy\u1ec1n ti\u1ec3u c\u1ea7u<\/li>\n\n\n\n<li>Truy\u1ec1n huy\u1ebft t\u01b0\u01a1ng t\u01b0\u01a1i \u0111\u00f4ng l\u1ea1nh n\u1ebfu c\u00f3 th\u1ec3<\/li>\n\n\n\n<li>\u0110\u1eb7t sonde d\u1ea1 d\u00e0y \u0111\u1ec3 l\u00e0m s\u1ea1ch v\u00e0 gi\u1ea3m l\u01b0\u1ee3ng acid d\u1ea1 d\u00e0y (t\u00f9y tr\u01b0\u1eddng h\u1ee3p).<\/li>\n\n\n\n<li>D\u1ef1 ph\u00f2ng tr\u01b0\u1edbc th\u1ee7 thu\u1eadt n\u1ed9i soi b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton omeprazole, pantoprazole, esomeprazole.<\/li>\n\n\n\n<li>Ch\u00edch c\u1ea7m m\u00e1u qua n\u1ed9i soi ho\u1eb7c \u0111\u1ed1t nhi\u1ec7t, k\u1eb9p m\u1ea1ch m\u00e1u.<\/li>\n\n\n\n<li>Sau n\u1ed9i soi c\u0169ng d\u1ef1 ph\u00f2ng b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00ean c\u1ea1nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb chung, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c v\u1edbi t\u1eebng b\u1ec7nh l\u00fd kh\u00e1c nhau g\u00e2y xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thu\u1ed1c b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c th\u1ef1c qu\u1ea3n v\u00e0 ch\u1ed1ng n\u00f4n trong h\u1ed9i ch\u1ee9ng Mallory Weiss.<\/li>\n\n\n\n<li>Vasopressin ho\u1eb7c somatostatin trong xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean do b\u1ec7nh v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/li>\n\n\n\n<li>Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc \u0111\u1ec3 ph\u00f2ng ng\u1eeba nhi\u1ec5m tr\u00f9ng<\/li>\n\n\n\n<li>Ph\u1eabu thu\u1eadt trong xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean khi nguy\u00ean nh\u00e2n xu\u1ea5t huy\u1ebft l\u00e0 u, ung th\u01b0, ho\u1eb7c xu\u1ea5t huy\u1ebft m\u1ee9c \u0111\u1ed9 n\u1eb7ng, t\u00e1i ph\u00e1t, ho\u1eb7c th\u1ea5t b\u1ea1i v\u1edbi c\u00e1c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00f3m l\u1ea1i, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u, kh\u00f4ng th\u1ec3 tr\u00ec ho\u00e3n. V\u00ec v\u1eady, ngay khi b\u1ea1n nh\u1eadn bi\u1ebft m\u00ecnh hay ng\u01b0\u1eddi th\u00e2n \u0111ang c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ee7a xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 h\u00e3y li\u00ean h\u1ec7 ngay v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 \u0111\u00fang c\u00e1ch. B\u1ea1n ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c sau khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean, tr\u1eeb khi b\u1ec7nh di\u1ec5n ti\u1ebfn \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u1ea3m \u01a1n b\u1ea1n \u0111\u00e3 d\u00e0nh th\u1eddi gian \u0111\u1ec3 \u0111\u1ecdc v\u00e0 t\u00ecm hi\u1ec3u v\u1ec1 1 s\u1ed1 \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft v\u1ec1 xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean t\u1ea1i Docosan. Ch\u00fang t\u00f4i r\u1ea5t vinh h\u1ea1nh ch\u00e0o \u0111\u00f3n v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 t\u00edn nhi\u1ec7m t\u1eeb c\u00e1c b\u1ea1n.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Doctor c\u00f3 s\u1eb5n Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 <\/em><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><em>\u0111\u1eb7t l\u1ecbch kh\u00e1m<\/em><\/strong><\/a><em> v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong>Ngu\u1ed3n tham kh\u1ea3o:<\/strong> <a href=\"https:\/\/emedicine.medscape.com\/\" target=\"_blank\" data-type=\"URL\" data-id=\"https:\/\/emedicine.medscape.com\/\" rel=\"noreferrer noopener nofollow\">emedicine.medscape.com<\/a>, <a href=\"https:\/\/moh.gov.vn\/\" target=\"_blank\" data-type=\"URL\" data-id=\"https:\/\/moh.gov.vn\/\" rel=\"noreferrer noopener nofollow\">moh.gov.vn<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n. Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh r\u1ea5t \u0111i\u1ec3n h\u00ecnh, v\u00e0 vi\u1ec7c c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng. H\u00f4m nay m\u1eddi b\u1ea1n c\u00f9ng Doctor c\u00f3 s\u1eb5n t\u00ecm hi\u1ec3u v\u1ec1 1 s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh xu\u1ea5t huy\u1ebft [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":91811,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[61],"tags":[],"class_list":["post-104399","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tieu-hoa"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/12\/xuat-huyet-tieu-hoa-tren-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/12\/xuat-huyet-tieu-hoa-tren-1-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104399","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=104399"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104399\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/91811"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=104399"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=104399"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=104399"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}